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French psychiatrists’ perspectives on proposed medical aid in dying legislation
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French psychiatrists’ perspectives on proposed medical aid in dying legislation

Emilie Olie et Philippe Courtet
L'Encéphale, pp.S0013-7006(25)00224-6
01/2026
PMID: 41565559

Résumé

Assisted suicide Euthanasia Ethical Psychiatrist
Introduction: France is poised to legalize Medical Aid in Dying (MAiD). Such a law may have potential implications for mental healthcare.Methods: We conducted an anonymous survey of 168 French psychiatrists between June and July 2024 to assess familiarity with the proposed law, willingness to participate in MAiD, and perceived ethical implications.Results: Eighteen percent of psychiatrists were unaware of the draft law, while only 9% had precise knowledge. Thirty-seven percent expressed a willingness to participate in MAiD for their patients. Concerns emerged around differentiating rational end-of-life requests from suicidal ideation driven by potentially treatable mental disorders such as depression.Discussion: The absence of psychiatric assessment in the proposed legislation raises ethical and clinical dilemmas, particularly given the high prevalence of underdiagnosed depression in severe medical conditions. Psychiatrists find themselves balancing suicide-prevention mandates with respect for patient autonomy.

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